intro to med Flashcards

1
Q

what is a drug

A

pharmacologically active ingredients
API active pharmaceutical ingredient

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2
Q

what is a medicine

A

means of administrating a drug in a safe and efficient manner - contains drug and excipients

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3
Q

what is an excipients

A

inactive substance used as a carrier for the active ingredients of a medication

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4
Q

name the routes of administration

A

oral,
rectal,
topical,
parenteral,
pulmonary routes,
nasal,
ocular (eyes),
otic (ears)

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5
Q

problems associated with different administration

A

GI -pH,gastric emptying,enzymes,bile
respiratory tract - mucociliary
rectal- poor retention of small dosage, small SA compare to GI tract.

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6
Q

A good medicine has (4 things)

A

dose uniformity - accurate dose
patient acceptability - pleasant to use
stability long shelf life
directions of use

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7
Q

name the 3 types of powder

A

effervescent powders - contain acid and carbonate
dusting powders - talc
powders for syrup - for kids and when formulation are unstable as a solution or a suspension.

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8
Q

what is granulation

A

approach to prevent segregation by forming granules which contain correct ratio of ingredients.

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9
Q

ADV of powders

A

-faster dissolution rate
-more stable than liquid
- convenient for high dose drugs
versatile dosage form - can be customised.

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10
Q

DISADVANTAGES of powders

A
  • not suitable for drugs which are inactivated in the stomach
  • stability challanges - Difficult to protect hygroscopic and deliquescent substances
  • less convenient - carry and prepare
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11
Q

what is a tablet

A

formed by compression of powder or graules.

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12
Q

ADVANTAGES of tablets

A
  • accurate dosing
    -long shelf life
    -controlled release options.
    -taste masking
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13
Q

DISADVANTAGE of tablets

A
  • difficulty swallowing
    -delayed onset - may take longer to absorb compared to liquids and powders.
    -inactivation in stomach acid.
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14
Q

how does a tablet press work

A
  • A die is filled with powder/granules
  • mechanical force is applied between upper and lower punches
  • Tablet is ejected.
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15
Q

what is dissolution and why is it important

A

e process by which a substance (often a solid) dissolves in a solvent to form a solution.
sold substance need to be dissolved in order to be absorbed into the GI

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16
Q

what is the dissolution rate

A

rate at which drug particles become individually dispersed within a solvent

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17
Q

noyes -whitney equation -
4 things

A

-SA
- solubility in the diffusion layer
-concentration of the drug
-thickness of the diffusion layer

18
Q

tablet excipients

A

filler/diluent - bulking agent - lactose
disintegrant - enables the breakdown by rupturing the tablet. -starch
absorption enhancers - modulates -permeability of a membrane - surafcants
Binder - mechanical strength - cellulose
dissolution enhancer- increases solubility - magnesium oxide
glidant- improves flowability of the powder - magnesium stearate
lubricant -ensures ejection from the die - magnesium stearate or stearic acid.

19
Q

what are 4 drug release

A
  • immediate release - rapid
    -extended/prolonged release - releases slowly and constant rate
    -pulsatile release - 2 or more pulses
    -delayed release - delayed after some time from administration (enteric coat)
20
Q

what is the enteric coating and when are they used(3) ?

A

pH sensitive polymers that are insoluble in acid but dissolve in natural or slightly alkaline conditions of the gut.
-drug is inactivated or destroyed by acid in stomach
-drug is irritating to the gastric mucosa
-when bypass from stomach enhances absorption.

21
Q

what is a capsule

A

edible packages filled with medicine to produce a unit dose

22
Q

what is a solution

A

mixture of 2 or more components that form a single phase that is homogeneous down to the molecular level.

23
Q

excipients

A

flavouring agent - palatable
colouring agent - make it attractive
antioxidants - stability
pH adjusters - so site of administration isnt irritated
viscosity enhancer - easy to handle
preservatives - to preserve multidose preparations.
solubility enhancer - maintains solubility of the drug

24
Q

what is a suspension

A

solid within a liquid vehicle. does not dissolve

25
excipients of suspensions
preservatives - prevent microbial contamination buffers - maintain pH - suppress solubility chemical stabilisers - suspending agents - increase the density of the suspensions or may reduce sedimentation rate flocculation modifiers - adjust the extent to which floccules form
26
what are the biopharmaceutical considerations ?
- in suspensions and solutions disintegration rate is surpassed. bioavaliability - aqueous solutions, aqueous suspensions and then solid dosage.
27
What is an emulsion
dispersions of 2 or more immiscible liquids. example diazepam
28
how many phases are there in emulsion and what are they
2 phases - water and oil (o/w) (w/o) continuous (external) and disperse phases (internal)
29
adv of oil in water phase o/w
mask unpleasant scent and suppress taste o/w are less greasy so are more accepted by patients in topical drugs.
30
challenges with emulsion stability
- separation into its constituent phases - cracking
31
what effects the stability
choice of oil, emulsifier, temperature droplet size.
32
what excipients are commonly used to improve stability
emulsifiers- surfactants proteins e.g. gelatine polysaccharides e.g. cellulose talc or Mg(OH)2.
33
what is it called when a gent has a hydrophobic and hydrophilic part
amphiphiles
34
what is an ointment
semi-solid fatty preparations
35
what are ointments made of and how does the hydration effect the drug delivery ?
-soft, hard and liquid paraffin. prevents trans epidermal water loss, hydrating skin. hydration of the outermost layer increases flux of drug delivered. can be used to provide prolonged drug delivery
36
what is the chemical stability of o/w emulsion
chemical degradation high SA. microscopic oil globules present huge area for light and O2 catalysed reaction.
37
how is this counteracted ?
add oil soluble antioxidant vitamin E, BHA,BHT
38
microbiological - stability what is added ?
o/w microbes go well in water phase use oil phased as food this destabilises the emulsion preservatives added
39
why should we be careful with the choice of preservatives ?
it should not partition into oil phase becomes ineffective should not interact with the emulsifier destabilise the emulsion
40